Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Wimbledon
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Hospitals and Hospital Organisations We Support
Private Hospitals & Day Surgery Units
Insurer and self-pay income reconciliation, consultant fee arrangements, statutory accounts and management reporting by department.
Care Homes & Nursing Homes
Occupancy and fee income tracking, local authority and private resident billing, agency staff cost control and CQC-ready records.
Specialist & Outpatient Clinics
VAT partial exemption on mixed medical and cosmetic work, capital allowances on theatre and imaging equipment, and payroll for clinical teams.
Multi-Site Healthcare Groups
Consolidated accounts, intercompany recharges, group VAT and site-by-site profitability reporting for expanding providers.
Our Accounting Services for Hospitals
Corporation Tax & Capital Allowances
Full expensing and Annual Investment Allowance claims on theatre, imaging and ward equipment, plus group relief and tax planning.
Bookkeeping & VAT Partial Exemption
Healthcare is largely VAT exempt, but cosmetic work, pharmacy sales, catering and room hire are not. We calculate partial exemption correctly.
Statutory & Management Accounts
Companies House and HMRC filings on time, plus monthly management accounts showing income and margin by department or site.
Payroll for Clinical & Agency Staff
Large-volume payroll including bank and agency shifts, unsocial hours, statutory pay and pension auto-enrolment, filed accurately every cycle.
NHS Pension & Consultant Payments
NHS Pension administration and support for consultants on Annual Allowance, plus correct treatment of self-employed consultant fees.
Key Accounting Challenges for Hospitals
Why Hospitals in Wimbledon Choose CruseBurke
Healthcare Finance Expertise
We understand NHS funding, insurer income, consultant fee models and care home fee structures.
Reporting Built for Boards
Management accounts by department, site or service line, ready for the board pack each month.
VAT Partial Exemption Handled
We calculate and document the exempt and taxable split so recoverable input VAT is not lost.
Payroll at Scale
Bank shifts, agency cover, unsocial hours and auto-enrolment processed accurately every cycle.
Compliance Without the Stress
Accounts, returns and payroll filed on time, with records that stand up to funder and CQC scrutiny.
Fair, Fixed Fees
Clear pricing agreed up front, so you get full expert service with no hidden extras.
Our Simple 3-Step Process for Hospitals
1. Initial Consultation (It’s Free):
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
2. Customised Plan:
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
3. Ongoing Support & Updates:
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Accounting Support Built Around Hospitals
Technology Driven
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
Named Healthcare Accountant
A dedicated accountant who knows your sites, your income mix and your reporting deadlines.
Ongoing Support
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Experienced Team
Our team has over 100 years of combined accountancy experience.
Free - Email Reminders
Never Miss any deadline with our automated email reminders.
Yes, We Are Chartered!
We’re an ICAEW, ACCA & AAT accredited Firm.
How to Switch to CruseBurke
Take a back seat and let our accountants handle everything. Switching partway through the year is straightforward, and we deal with your old accountant for you:
Get in touch
Tell us about your hospital and current accounting requirements.
Letter of Engagement
We’ll send over a simple letter to formalise our partnership and get everything in motion.
Previous Accountants
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
We Do the Rest
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
FAQs About Accountants for Hospitals
We support hospitals and hospital businesses across Wimbledon, including private hospitals, independent hospitals, hospital operators and hospital groups. Our work is shaped around each organisation's structure and activities, so it suits single-site hospitals as well as hospital businesses running more than one location. Because accounting and tax treatment can differ considerably between organisations, we look at your specific circumstances rather than assuming a standard approach applies.
Support can include bookkeeping, payroll, annual accounts, management accounts, budgeting, cash flow planning and financial reporting, together with Corporation Tax support where it applies and VAT support where relevant. In practice, the mix depends on your hospital's size, structure and internal finance capability — some hospitals need help with day-to-day records and payroll, while others want a fuller outsourced finance function. We agree the scope with you up front so you know what is covered.
We work on fixed, transparent packages, so fees are agreed in advance based on the scope of work rather than billed by surprise. The price reflects factors such as the number of sites, payroll size, transaction volumes, reporting requirements and whether VAT or Corporation Tax work is involved. There are no hidden fees, and if your requirements change we discuss any adjustment with you before proceeding.
We keep track of the filing and reporting deadlines that apply to your hospital business, including accounts, confirmation statements, payroll reporting and tax returns, so nothing slips through. Records are kept in line with UK accounting and tax requirements, and we flag issues early rather than at the last minute. Where a deadline depends on your structure or circumstances, we confirm the position with you directly.
Corporation Tax applies where your hospital operates through a limited company, and the accounts and tax computations need to reflect your actual income, allowable costs and capital expenditure. Hospitals often have significant equipment and premises costs, and how these are treated for tax depends on the nature of the spend and the circumstances involved. We prepare the figures, explain the position in plain English and deal with the filing side.
VAT treatment for hospitals is not a simple yes or no. It depends on the nature of the supply, the activities involved, the organisation's status and the specific circumstances, and different income streams can be treated differently. NHS hospitals and private hospitals are not automatically subject to the same treatment, so assumptions are best avoided. We review your position with you and help you apply it correctly in your records and returns.
Yes. Equipment purchases, fit-outs, refurbishment and other capital expenditure need to be recorded correctly and distinguished from day-to-day running costs, which affects both your accounts and your tax position. We help you keep that split clear, plan for the cash flow impact of significant purchases and reflect the costs properly in your financial reporting. How each item is treated depends on what it is and how it is used.
Getting started is usually straightforward. We begin with a conversation about your hospital, your current accounting arrangements and what you need from us, then review your existing records and compliance position. If you are moving from another accountant, we can handle the handover directly with them on your behalf. From there, we agree the scope, put the ongoing support in place and take it from there.